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Alar Ligament Avulsion
Joseph Junewick, MD FACR
over 5 years ago
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Bilateral Sprengel Deformity

Case Detail

Anatomy: Musculoskeletal
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Developmental or Congenital
Created: over 7 years ago
Updated: over 7 years ago
Tags: PEDS
Modality/Study Types: CT
Activities:
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History

Child with deformed shoulder girdle.


Case Images


Diagnosis

Bilateral Sprengel Deformity

Findings

CT – Bilateral elevated scapulae with omovertebral bones.

Discussion

Sprengel deformity is the result of failure of descent of the scapula(e). Often the scapula is fused to the cervical spine by fibrous tissue or omovertebral bone; the origin of the omovertebral bone is unknown. Resection of the omovertebral bone reduces the scapular deformity and improved range of motion. Sprengel deformity is associated with scoliosis (especially when unilateral), renal amalformations and segmentation anomalies of the spine.

Reference

Slovis TL et al. Caffey’s Pediatric Diagnostic Imaging, 11th Edition (2008)



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